Document Detail

Double infarction in one cerebral hemisphere.
MedLine Citation:
PMID:  1929225     Owner:  NLM     Status:  MEDLINE    
Thirty-two patients whose first stroke was due to double infarct in one cerebral hemisphere were identified among 1,911 consecutive patients from the Lausanne Stroke Registry. The double infarct involved territories of the superficial middle cerebral artery, superficial posterior cerebral artery, lenticulostriate, anterior choroidal artery, or borderzone. The most common combination involved territories of the anterior middle cerebral artery plus the posterior middle cerebral artery. In the patients with the double infarct, the prevalence of potential cardiac sources of embolism (19%) was similar to that found in the registry in general, but the double infarct was closely associated with tight (greater than or equal to 90% of the lumen diameter) stenosis or occlusion (75%) of the internal carotid artery. The most common neurological picture mimicked large infarction in the middle cerebral artery territory, but nearly half of the patients with double infarct in one cerebral hemisphere had a specific clinical syndrome, which was not found in the 1,879 remaining patients from the registry, including hemianopia-hemiplegia (in 6), acute conduction aphasia-hemiparesis (in 2), and acute transcortical mixed aphasia (in 6), in relation to characteristic combinations of infarcts. These unique clinical and etiological correlates warrant the recognition of double infarct in one cerebral hemisphere from other acute ischemic strokes.
J Bogousslavsky
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of neurology     Volume:  30     ISSN:  0364-5134     ISO Abbreviation:  Ann. Neurol.     Publication Date:  1991 Jul 
Date Detail:
Created Date:  1991-11-07     Completed Date:  1991-11-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7707449     Medline TA:  Ann Neurol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  12-8     Citation Subset:  IM    
Department of Neurology, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.
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MeSH Terms
Aged, 80 and over
Aphasia / classification,  etiology
Carotid Artery Diseases / complications,  epidemiology
Carotid Artery, Internal
Cerebral Infarction / epidemiology,  etiology,  pathology*
Dominance, Cerebral
Heart Diseases / complications,  epidemiology
Hemianopsia / etiology
Hemiplegia / etiology
Middle Aged
Switzerland / epidemiology

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